F609 in Arizona. Pick another state for the same tag.
Against expectation — 2025
Arizona cites F609 more often than its own record predicts
Versus expected share2.87×
2.87 times the share F609 takes of citations nationally.
Share of Arizona citations7.02%
Of every deficiency written in Arizona in 2025, this is the portion that was F609.
Arizona7.02%
National2.45%
Share of all citations that were F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F609 findings written in Arizona, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
K · Immediate jeopardy, patternNovember 22, 2023
Based on observations, clinical record reviews, resident and staff interviews, and facility documentation, policy and procedures, the facility failed to ensure that allegations of sexual abuse for one resident (#38) were reported immediately to the State Agency (SA) as required. The deficient practice resulted in resident subjected to further sexual abuse and could result in protection of other residents being compromised and increased risks for serious injury and harm. As a result, the Condition of Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC) were identified.
Findings include:
On November 17, 2023 at 6:53 p.m., the condition of IJ was identified. …
Based on clinical record reviews, resident/staff interviews, facility documentation and policy review and the State Agency (SA) complaint tracking system, the facility failed to report allegations of abuse to the State Agency, Adult Protective Services (APS) and local law enforcement for three residents (#23, #3 and #45). The sample was 3. The deficient practice could result in abuse not identified and investigated and place all residents at risk for further abuse.
Findings include:
Regarding Resident #23
Resident #23 admitted to the facility on [DATE] with diagnoses of schizoaffective disorder, bipolar type, dementia and anxiety disorder. …
D · No harm, potential for more than minimal, isolatedAugust 20, 2026
Based on clinical record review, facility documentation, staff interviews, and policy review, the facility failed to ensure that an allegation of physical abuse for one of two sampled resident (#12) was reported to all applicable state agencies. The deficient practice could result in further allegations of abuse not being reported and investigated by the appropriate state agencies. The universe was 154. Findings include:Resident #12 was admitted to the facility on [DATE], with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side, fracture of the shaft of the left femur, chronic pain syndrome, generalized anxiety disorder, and major depressive disorder.A comprehensive care plan focus area for psychotropic medication use was… …
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